Individual
ANTHONY LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 HAZARD AVE, ENFIELD, CT 06082-4592
(860) 731-5522
(860) 731-5536
Mailing address
2 WATERSIDE XING STE 401, WINDSOR, CT 06095-1588
(860) 731-5522
(860) 731-5536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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